the on my third year with aca. have the family silver plan and so, the first year, my cost is approximately $1000 for the year. through blue cross blue shield, the actual insurance was $12,000 and that was the subsidy we received from the states and the fedas. s. the second year, my premium -- this year,was my out-of-pocket is $3800 a year and the insurance cost is $18,000. me, i am caught. my own opinion is they not get rid of this mess soon enough, it is not sustainable. i am not sure what the answer is. i don't like the idea that the people that helped create this mess are the ones throwing rocks and not being helpful trying to fix it. i have a real problem with that, but i don't know what the answer is. i will be interested to know what the details are on these health savings accounts. in new york, on independent line. caller: first off, i wish everybody in the world well. i am a taxpayer, but i do not want my taxes being paid for to people who may be terrorists in this country. the obamacare is 1000 pages. sen

the aca saves lives. today, i want to show the story of julie chamberlain, who lives and works in my district in greenville, not her line of -- north carolina. old. is 55 years for the first time in her. life, she is able to afford health insurance because of the aca, even though she has a pre-existing condition. -- the aca,s ca julie tried to get coverage but could not afford the expensive policies she was offered due to her pre-existing condition. repealing the aca will endanger health care for millions of americans. them.is just one of because she is over 50 years of age, julie is at risk of no longer being able to afford health insurance under the replacement plan because this bill will allow insurance companies to charge much higher premiums for older americans than they were allowed to charge under the a formal care act. 10 fact, the bill is estimated to raise premiums for older $3200.ns by that is a lot of money for people trying to put food on the table and trying to pay for their children's educa

if you are appealed aca, those taxes would go away. the overallduce revenue baseline of the federal government. however when you look at the tax reform plan, those taxes are entirely separate. that tax proposal would reduce revenue by about $2.4 trillion on a static basis. it is not contingent whatsoever on the aca taxes whether they pass or not. you can imagine a situation where that $2.4 trillion tax cut the aca taxesand are still in law. are completely separate. it is not necessary that one has to happen in order for the other to happen. host: the wall street journal said the failed health bill wouldn't make tax reform easier because it created budgetary offsets that made it easier to cut corporate taxes without adding to the deficit. guest: i'm not entirely sure where that comes from. that might be a little bit of an overstatement. i need to look at exactly what they are talking about. proposals were very very small. host: where our republicans at? it's not 100% agreement but we will look at the house gop plan. they are taking the

he's covered under the aca, but wynter voted for trump. >> i'm a republican. so i stay true to my party and our principles. >> reporter: and although she sees problems with the aca, she's grateful for some of the benefits. >> well, the main thing for the aca for me is of course the preexisting conditions, that is huge. i mean, he has two major life-altering conditions that if i had to go and shop for it, it, i wouldn't be able to afford it. >> reporter: wynter lives in quakertown, pennsylvania, whose congressman, brian fitzpatrick was one of dozens of republicans who planned to vote no on the new health care bill before it got pulled. he opposed the bill because it didn't do enough to address opioid addiction treatment. pennsylvania has over 700,000 enrolled in medicaid expansion and more than 426,000 in the aca marketplace. had the aca been repealed, the pennsylvania budget and policy center estimated over 1 million pennsylvanians would lose their coverage, like brian kline who was diagnosed with cancer last year. >> the aca saved my life and saved me from me

benefits mandate on the guaranteed issue mandate that is part of the aca and we are not repealing aca. if we can leave those things in, why can't we deal with these tax issues or like you said, the taxability of nonprofitinsurance companies , ceos who seem to make a pretty good living. meanwhile, there are people that can't afford healthcare. that remains i think a problem at least of optics and it's not strictly reality and i think that's part of this discussion . >>. >> host: from portland press herald in maine, senator collins in an interview yesterday send the house bill quote, doesn'tcome close . amy edwards park florida, republican line, good morning . >> guest: good morning amy. >> caller: good morning congressman. i couldn't help, my ears couldn't help but perk up when you mentioned malaysia and the health care in malaysia. you mentioned that it was a seven but the cost of healthcare here and i lived in malaysia for about 10 years. i lived in southeast asia for about 18 years. and you are right, healthcare is very low there.but the reason why it's so low is because they don't

this was before the aca. there was no getting it for me. i was disseminated against because i am a small business owner and i only have three employees. i am never going to have 50. i am never going to make the income they think we make as a small business owner. i believe the aca actually helped a lot of people start small businesses because they didn't have to stay trapped with an employer they were happy with because no one in their family had health care. that is my main problem. before i got the aca, my daughter came up with type 1 diabetes. that full-year was horrible. i spent every night not knowing what was going to go on, whether i was going to lose everything i had worked so hard for because the insurance company -- because i didn't have insurance. i got the aca, she got her treatment, and i noticed from the first tier it costs me $700 a month for insulin. that same insulin is incredibly expensive now, it just keeps going up. toon't know what i'm going do and i am 51 years old, so that means i am not going to have insurance after

that is the 10 years before the aca. what has happened after the aca? according to the kaiser family foundation, in the five years between 2010 and 2015, these premiums increased from $13,770 to over $17,800. an increase of about $4000. since that time in the last couple years, there's been increases too. the fact of the matter is, if you look at the 10 years before the aca and the eight years since the aca, the premiums have gone up about the same rate as they did before the aca. so this myth out there that somehow premiums have gone up a lot more under aca than before is not borne out by kaiser family foundation and average family increases. >> will the gentleman yield? >> not right now. i have some more things i want to say. i also want to talk about the individual markets. in my prior lifetime before coming here, i was in the insurance business. i owned an insurance agency. i'm licensed in life insurance. isolate individual life policies and i sold commercial policies to large corporations. i know a little bit about the market. when you look at insu

the problem is that even if we love the aca it is collapsing. one third of the club country only has one choice, one option. even if we love it it's not going to continue because that's understandable. we have to fd a compromise, a solution for healthcare coverage that will work.e i appreciate where you are but we want everybody to have the things that you've had in your life including insurance and coverage and the peace of mind that they can go to the doctor. right now, that's fading away with aca. >> host: i want to get your reaction about what speaker ryan said yesterday. >> caller: good morning. i get you loud and clear. i want to demand the congressman does not vote for the ryan bill because it's similar to the current medicare system that we wve now. >> guest: one of my concerns is that medicare is a program that all of us who have worked on a job and got a paycheck and paid into and a program that my mother gets her healthcare from is going bankrupt. that's a system that is on sustainable as well. the last thing we want to do is create a

aca has been the best thing for americans. am disgusted with my republican party because they are putting a spin on this. this will not help large groups, small groups, individuals in -- or industrial groups. in the long run and especially in the short run. right now, with aca, you have a platinum, a gold, a silver and a bronze. i don't understand what's happening back east. they are talking about a $10,000 deductible. i have no idea what they are doing. to guessing but i would have affirm that some doctors and hospitals and surgeons have a strong association and are banding together and they are pretty ornia it working good and people on medicaid are subsidies.tastic host: we are at the top of the hour so i will leave it there switch we will conversations. we will be joined by two representatives scott taylor of virginia to talk about defense issues and spending. then val demings of florida we her about law enforcement and donald trump's law and order he president. >> they have very nice life r styles and tons of money but i

i was speaking to a doctor the other day who said we can't get rid of the aca, we have to keep the aca. ike where it hurt us to whether or not she to patients on the aca. , the reimbursements are not good enough. that is hypocrisy writ large. , there are a lot of people with coverage of can't get care because they can't pay the deductible. host: this is representative tom garrett joining us, freshman, first time on this program, the michigan -- carol in michigan on the democrats line. caller: my name is carol williams. i'm a democrat, republican, and independent. all in want to say is how can filthy rich people in the white house, how can they even feel the pain of the poor person at the bottom? you can't feel the pain. you don't care because your kids are being taken care of, you are being taken care of, but nobody cares about the person -- how can you make decisions about poor people when you are not here? let everybody have health insurance. please. it is a man i know went to the doctor, had not been to the when they15 years, had the aca, he went to the doctor, he got his teeth clea

where the aca works they're are to leave it or proposed the leave it. where it doesn't work, then ryan's bill would go in. wouldn't that be a good idea to something that is going to affect so many people's lives? you could tweak it -- purpose.he whole we're talking about money. proposal gives 157 back to the drug companies, the insurance ompanies, and to the richest americans who don't need tax breaks. why did you do that? the money andkeep put it in the deficit? program so we don't lose pbs for the kids? 'm curious how you keep saying you're going to help us and entitlements. they have to fixed. they have to be fixed. o you turned around and gave all that money and the other little piece performance pay. ceos can have unlimited tax breaks. me when i heard it was really a slap in the face to me.ple like host: thank you. guest: i think cathy makes some points.t i think you get caught in this to oric of we're going repeal the aca including taxes you're going to repeal it, that means lock stock and barrel in my mind including has axes which cathy pointed o

this aca has been a major, major provision. there is nothing more sacred and important than one's health care. nothing. nothing. and to minimize it is to make, i think, a mortal mistake. thank you for yielding. >> mr. lewis, mr. hig begins do you wish to strike the last word. >> yes. thank you, mr. chairman. we've been at this now for eight and a half hours today and the only thing we've really talked about is a plan to provide a massive tax cut for insurance executives. your bill kills a provision in the affordable care act that placed a $500,000 limit on deductions for each executives compensation. five major insurers paid their ceos a total of $73 million in 2015. 2.5 million of that was deductible currently under the action that you're taking today $70 million is deductible in executive pay giveway. so clearly this system is rigged again to screw the american people. more insurance executive pay, less health care for the american people and higher premiums and all of this, all of this when last month the department of justi

the aca made it possible for them to afford health insurance again. this is what susanna said, quote, if they shred the aca like they are threatening to do, we are going to have to hightail it out of here because dealing with the health care costs and insurance complications just makes you sick. we are getting by, but we are getting by on the aca, and if it goes away, if they make these changes the way they are talking about, we will be uninsured again which i was going to show you a picture here, these are the folks that i met with yesterday. i won't point out the individual ones. i am going to talk about some of the other ones. you can see most everybody, one person over here is outside the photograph. we sat down for an hour's conversation. i wish every senator and every member of congress would go out and talk to people who are real people with real problems and understand how petrified they are. these folks, they look like our neighbors and our friends. they look like the people that we go to church with. they look like the people who have childr

of that we have seen some health insurance plans exit the aca market. and that needs to be addressed and that is a genuine problem. the issue of selling health insurance across state lines is just a different issue. selling insurance across state lines is something that is going to have to be moved in a separate piece of legislation, not this reconciliation bill we have been talking about and that the cbo scored yesterday. leaf reading do you do? guest: i'm an actuary. not a prophet. i read the news like everyone else. pieces of health insurance legislation historically has been a heavy lift. what will happen this time, i don't know. host: it would need 60 votes in a separate these of legislation. we are talking about it this morning. if you get the of thorns through the affordable care act, (202) 748-8000. employer insurance, (202) 748-8001. .ninsured, (202) 748-8002 all others, (202) 748-8003. tom gets his assurance -- insurance through the aca. caller: i guess i was confused on the line. i still have insurance through my wife's work and how long it w

his positions on aca are in the same dilemma they were before he gave the speech. speeches go away quickly. nobody remembers what the president said in the inauguration and he's had a rough 40 days. same thing is going to happen with this because it's so divergent from what he's actually doing, talks a populist game but lets hard right govern. he's going to have big trouble. i think this speech will be of less consequence because nothing to do with what he actually does and american people have eye on what he actually does. >> this is dana bash, mostly your people heeded your call to use restraint, be polite and mostly didn't say much of anything, including applause in the bipartisan moment but was a moment where it sounded like boos and gasps in the hall when president announced office to serve americans who were victims of violent crimes by immigrants. were you one of those booing? >> i was restrained. got up and applauded our soldiers and families in the gallery who got our respect. but the speeches, as i said, when you see what he's doing in washington, has air

the aca. earlier this evening, folks misquoted me, and i want to correct the record on that. i wasn't given the opportunity but said on healthcare republicans would have to go it alone. i didn't say that. it was taken out of context. what i said as i was looking for a bill that would introduce coverage for the millions of americans who had gained coverage because of the aca and if there was a bill that reduced the coverage, then republicans were going to have to be on their own. so i wanted to clarify and wasn't given a time when i requested that for my colleagues. but the bill that we are marking up today reduces coverage and increases costs for the people that most need help, and i can't fathom how this is seen as an improvement or a better path forward for a majority of american. there are things with the aca that need fine-tuning or fixing or overhauling. but we never got to the discussion. and with this bill, we were never invited into the room. and until about 40 hours ago, maybe 48 now

the aca made it possible for them to afford health insurance again. this is what susanna said. quote if they shred the aca like they are threatening to do we are going to have to high tail it out of here because dealing with the healthcare cost and the insurance complications just makes you sick. we are getting by, but we are getting by on the aca and if it goes away and they make these changes the way they are talkingin. about, we will be uninsured a again i was going to show you a picture of these are the folks that i met with yesterday. i will not point out the about individual, and i'm going to talk about some of the other ones.ost but you can see there's one person over here outside of the photograph, but we sat down for an hour conversation and i heard their stories. i wish every senator and every member of congress would go out and talk to people who are real people with real problems and understand how petrified they are. these folks, they look like our neighbors and our friends. they look like the people we go to church with. they look like the people who have children

. >>> bueno, ahora estoy un poco más tranquila porque tengo a mis niño por acá cerca. >>> las cosas andan normal. >>> gracias david por la información. >>> le robaron el bolso a una turista, el ladrón chocó contra un árbol escapando a pie. >>> un hombre murió esta madrugada cayendo a una zanja con su carro. >>> el conductor falleció en escena. >>> en vallejo un policía arresto a un sospechoso, la víctima identificada. >>> un grupo de inquilinos estuvo en la tarde. >>> jenniffer nos cuenta que es la que esta pasando. >>> la señora olga es una de muchas que alegan que las cucarachas y el moho esta agarrando su departamento. >>> acá es donde se acumulan todas las cucarachas. >>> los precios van en aumento. >>> la señora dice que los precios han aumentado mucho. >>> no esta acondicionado para el precio que cobran. >>> la solución que les ofrecen es solo temporal. >>> el moho que van a arreglar al baño lo han tapado con pintura, pero eso sigue. >>> el problema sigue. >>> esta muy mal, deben dar la cara para poder hablar con el. >>> para qque el sepa en que condiciones esta el departamento. >>>

under the aca unsure -- comes in prices great guy. there's a lot you can do under the aca because obamacare give a huge amount of discretion in changing things to the secretary and with secretary burwell, when he administration changes in prices while discretion in the aca. hhs.s part of that is medicare, medicaid and all the exchanges. it gives you an idea of more than double the size of spending at the pentagon. it's a huge agency. all the people who run it in last 15 years, it's kind of a small community. it's not that partisan. when you get your big issues like passing obamacare, my big job there was pushing through medicare part d and medicare advantage which is the managed care program. those are very controversial. you have to go to hell to pat -- hill, it's very controversial. if you look to massage my friends who pat -- worked for president obama they agree. time you'rethe running a massive agency. social security is the biggest, medicare is barely -- they affect a lot of people and there are a lot of things going on. every d

that he did not get his way on repealing the aca. that is not presidential. that is petulance. and secondly, this approach will not work politically. donald trump is no longer an he is president. the american people are looking to him to help solve their problems. if he does not, it will hurt him and his party. pointing the finger of blame is not going to solve anyone's problems. that strategy is not only bad for the american people and beneath the presidency, it will backfire politically. he is in charge. people want him to make their lives better.not make them worse because of some political anger organ data. now i know many of my colleagues on the other side of the aisle do care about fixing the nation's healthcare problems. we are ready with bipartisan way. with first repeal must be taken off of the table and the president must stop hurting citizens by undermining the affordable healthcare act. and now that the jig is up in healthcare, our republican friends have signaled that they will turn to taxes. i hope they have learned the lessons of trump care. one of the reasons th

he's covered under the aca but winter voted for donald trump. >> i'm a republican. so i stayed true to my party and our principles. >> reporter: although she sees problems with the aca she's grateful for some of the benefits. >> well, the main thing for the aca did for me is, of course, the pre-existing conditions. that's huge. he has two major life altering conditions that if i had to go and shop for it, i wouldn't be able to afford it. >> reporter: winter lives in quakertown, pennsylvania whose congressman brian fitzpatrick was one of dozens of republicans who planned to vote no on the new health care bill before it got pulled. moderate republican he opposed the bill because it didn't do enough to address opioid addiction treatment. pennsylvania has over 700,000 enrolled in medicaid expansion and more than 426,000 in the aca marketplace. had the aca been repealed the pennsylvania budget and policy center estimated over a million pennsylvanians would lose their coverage. like brian cline who is diagnosed with cancer last year. >> the aca saved my life and saved me

and stop undermining aca. and we'll work with them. we have ideas. they have ideas. to try to improve obamacare. we never said it was perfect. we always said we would work with them to improve it. we said repeal was off the table. can i just make one other point on this, george? for the president to say that he'll destroy it, or undermine it, that's not presidential. that's petulance. being petulant, not a president. it's not going to work. the job of the president is to make americans' lives better. if he, out of anger, vengeance, whatever, starts undermining aca, it's going to backfire on him. because he's the president and the american people know he's in charge and they want him to make things better. >> congressman meadows says the repeal effort is not dead. >> well, it won't succeed. and there's one point we're missing here. the american people hated trump care. the more they learned about it, the more they didn't like. and you know, not only did we have a totally unified democratic caucus from bernie sanders to joe manchin, i want to salute all the people out

do you disagree with this report that the average tax credit would be 33.6% less than under the aca? >> i haven't seen their reports so i shouldn't comment on it. >> will let you take a look at the report and give us a response tomorrow if possible? .. >> >> [inaudible] we do need to try to follow regular order here find somebody to finish the question. >> cpi plus one on the proposal. >> please give us an analysis of that also. >> mr. thompson you are recognized. >> this provision reduces the monies that go into the of medicare trust fund over tenures. is that correct? >>. >> there repeal of the additional tax we estimate this is $117 billion. >> as i understand it the actuaries tell us that will reduce the financial longevity of the trust fund by three years? >> i have not seen or received a letter from the actual actuaries. i have no reason to dispute. >> if cbo was here with that be in their report to greg. >> i do not believe it is commenting on the of longevity of us unstressed fund as becky doesn't have the actuarial report by. >> about that was read into the wac record -- int

t the aca saved my life and saved me from medical bankruptcy. a reporter: kline is a democrat eho voted for clinton, but he and winter have one thing in common, their message to congress on health care: >> stop fighting. stop arguing. stop folding your arms and aing, i'm a democrat, i'm a republican. come together. that's why we elected you. >> reporter: scott, both winter and kline say they want the thmocrats to cooperate with the rdesident in order to make the problems with obamacare better. >> pelley: don dahler, thanks. today the white house condemned the mass arrests in moscow during rallies against vladimir putin's government. the protests were organized by one of putin's fiercest anlitical opponents. and elizabeth palmer is following this. >> reporter: united in anger, russians from across the country marched to protest against official corruption. in moscow, it was the biggest n monstration since the anti- kremlin rallies of 2012. but without a permit, authorities called the gathering anlegal and soon the police had moved in. hundreds we

our family and our small business were saved by both the aca and medicaid. my husband and i along with his brothers own a small manufacturing company in hanover county that employs 30 families and has been in business for 27 years. the aca saved our company over $7,000 a month. close to $90,000 a year. same employees, same plan. these savings occurred because of the law protecting those with pre-existing conditions. many of our employees and family members have pre-existing conditions. and two of these family members are our twin boys, christopher , who is here with me today, and his twin brother, matthew, who was unable to attend. they were born with a genetic disease called tubular sclerosis. this brings me to the next part of our family story. medicaid. while chris and his wife jamie, who both have developmental disabilities, are able to live in their own home with the support of family and technology, matthew is affected -- matthew affected by t.s. more severely. matthew is nonverbal. he cannot feed himself. he is incontinent. he requires full-time suppo

back with the aca. and i've pulled up an article that was put up by national rural health association, representing the rural hospitals across america. and one of the -- they made several statements here that i thought were worth consideration, given the situation we're dealing with. and it says that to some of the regulations were implemented are actually -- actually harming rural america and not fulfilling the ultimate goals of the aca. then it goes on to say that despite the well intentions of the aca, have really fallen short and may actually be exacerbating the hospital closure crisis. so, having said that with their articles, we -- i think we all understand the role of the hospitals play in a community. for those of us in rural america. i get a kick out of when i hear the speaker talk about janzville like it's just a little tiny town. janesville is twice the size of any community i have in my district. it's 60-some thousand people so we understand the role of hospitals, but we also have to underst

main thing for the aca for me is, of course, the preexisting condition. that is huge. i mean, he has two major life-altering conditions that if i had to go and shop for it, i wouldn't be able to afford it. >> reporter: winter lives in quakertown, pennsylvania. congressman brian fits pallet rick was one of dozens who planned to vote no on the new health care bill before it got pulled. a moderate republican, fitzpatrick opposed the bill because it didn't do enough to address opioid addiction treatment. pennsylvania has over 700,000 enrolled in medicaid expansion and more than 426,000 in the aca marketplace. had the aca been repealed, the pennsylvania budget and policy center estimated over one million pennsylvanians would lose their coverage, like brian kline, who was diagnosed with cancer last year. >> the aca saved my life and saved me from medical bankruptcy. >> reporter: kline is a democrat who voted for clint, but he and winter have one thing in common, their message to congress on health care: >> stop fighting. stop arguing. stop folding your arms and

the energy and commerce committee has 31 oversights on the aca, hearings on the aca. the oversight investigations and health subcommittee convened one joint hearing. the look at what was working, what wasn't working, and congress and a bipartisan way sent president obama legislation to repeal parts of obamacare that were not working, and he signed 20 of those into law. even democrats have recognize there are problems with obamacare that need to be fixed. we have had 107 witnesses testify. 38 where administration with witnesses. lastf that work over the several years has brought us to this point. first let me describe the bill. this bill prohibits health insurers from denying coverage or charging more money to patients aced on pre-existing conditions. this is something we have heard from both sides. have beense you stricken with the help disease should not preclude you from being able to get insurance you can afford. so we kept in place provisions making sure people cannot be denied insurance because they have a pre-existing health care condition. young, our plan helps

and speaker ryan will say that they have given up on repeal, we'd love to work with them to improve aca. they haven't done that and once you repeal large sections of the aca, you run into the kinds of trouble we've outlined before. >> you expressed your concerns before. were his answers satisfactory? >> i think he's a kind man. i was disappointed that he didn't say at the hearing that he would call on a special prosecutor. i'm still hopeful he will when he looks at the guidelines. it's really the best, far and away, the best alternative and i'm hopeful that a seasoned unbiassed report like rosa stein will see that. >> we hear these criticisms from the republicans, democrats when they passed obamacare senators and so and so forth, you hear the accusations and see the preliminary process here and to what is different about what the democrats did? >> it's really like night and day to be honest with you. we had hearings. our proposals were vetted out in the public over and over again. we had a cbo score. so people would know who was covered. people would know how much it would cost. they're

pennsylvania has over 700,000 e and more than aca marketplace. the pennsylvania budget and py coverage. light brian cline who is diagnosed with cancer last year. >> the aca saved my life and saved me from medical bankruptcy. >> reporter: he's a democrat who voted for clinton. >> stop arguing, stop folding c republican, come together. committee's vote ondemocrats. >>> police officers are recovering e were shot or if t have the caun >> a price uni opened fire.orng in and gusts up to w injured when a tourist towns near the barrier reef. moving into oklahoma could see the worstown trees and workingosg its football team to las vegas and raiders fans say it's a sin. >> i don't stand for it. i don't raiders, the nfl aredhe move yesterday.ns for a new $1.7 ready raiders wi pl >>> coming up on the morning is cities that defy immigration laws. >>> basketball dynasty delivers. uconn makes it to the ncaa women's final four. this is the "cbs morning news". not caused by a heart valve problem. but whatever trail i take, i go for my best. so if there's somethin

if we talk about the aca before we get into med dadicaid, there issues to be addressed. there are a handful of things that need to occur that can't occur because republicans wanted to repeal it and democrats are scared to reopen the process. let's look at quick fixes and take care of those that we think create effective competition in insurance markets. we need to deal with the mandate. i think everybody agrees we need, i think we need a more meaningful mandate. we've got to do something about subsidies to get people into the health insurance markets. the handful of things i think we can agree on is moving forward and looking at the problem. but they may name it something else but they're not making dramatic changes from the affordable care act now. >> i will give you one example. couple of states say there is this mandate in federal law that requires all eligibility for medicaid to be handled by classified state employee. well state have said we can save millions, literally, if we can outsource that simple process. a lot of things like that embedded in the affordable ca

my question to you is what i've read about with the republicans changes to the aca. they want to basically replace it with tax credits. i am here on behalf of some of my friend in the dallas county. that county has the lowest life in the 90s they as one of the lowest per median, per capita incomes. how are they going to be able to afford health insurance if it relies on tax credits when they can't even make it? we know the aca, obamacare isn't workin everybody can ree with you on not -- i'm not. >> let me just say this. it is working where it is intended to work in basically filled in the gap for 20 million people and never had a prayer, never had a chance. they would've never gotten out. that's what you can't go back on. it's the private market. we can fix the private market, but no one wants to fix it because if he thinks they basically told all the people who voted for you we are going to repeal it. wait a minute, you fixed it. i'm sorry. i'm going to hold you accountable. i won't vote for you because i told you we'd repeal it. no rationale anymore about axing thi

the expansion of medicaid under the aca has helped s.t.e.m. the tied of the closure of rural hospitals. let's keep these rural hospitals open. let's expand medicaid to give them that will opportunity. thank you, and i yield back >> chair thanks the gentleman. the gentleman yields back. does anyone on the republican side? for what purpose does the gentleman from oklahoma sec rec fligs. >> move to strike the last word snir it's now the toot often that my colleague from north carolina and i agree on something but we do agree on keeping our rural hospitals open. i have 36 rural hospitals in my district. and 41% of rural hospitals right now are operating at a loss. now, were we and my colleague from north carolina disagree on is he takes the position that it's because they didn't open an exchange in their state. well, the fact is. >> they didn't expand medicaid. >> they didn't expand medicaid. the fact is, it was forced upon them by obamacare. what's forcing them to take a loss is the lack of the dish fund reimbursements. what drove up the rates an

he started on the aca. he knew it would create partisan divisions. if he goes to a huge tax break, democrats are going to oppose him. >> bret: what about border funding? you voted for more security. >> there's going to be your request, possibly tomorrow. >> bipartisan bill got the support of a lot of republicans, called the schumer-mccain bill. we have better production on the border than a wall would be. they haven't cemented it. the major basis of it is a wall. >> bret: you are not ruling out funding request on the border? >> if donald trump would look at the bill that senator mccain and i passed, he might agree with 98% of expert he should look at it. >> bret: senator bernie sanders in "new york times" magazine on the future of the democratic party was asked what the party currently stands for. here's what he said. >> you are asking a good question i can't give you a definitive answer. certainly there are some people in the democratic party want to maintain the status quo. they would rather go down with the titanic so long as they have first-class

the approach that we take in our health care bill is different than the aca. for example, the aca punishes and threatens individuals and really tries to coerce them into buying health insurance. still millions of americans don't do it and have to pay a fine. we come in from a different angle. we encourage americans to take care of themselves. we empower them with advanceable, refundable tax credits to buy the health care that's best for them and for their families without threatening them, without fines and without all these burdens and government regulations. this is entirely different, and more importantly, i think it's going to be much better for the american people. >> there's a premise that underlies what you call better which is it assumes that people will have the means to buy this health care that is supposed to be more affordable. in florida especially that's a tricky proposition. your population is the hardest to cover, disabled people, low-income seniors. they have been rising faster, those populations, than the national rate. florida is a state tha

>> that's the reason weir all here today fighting the aca. you repeal that you think our problems are bad now they exacerbate the problems we have right now and that's the problem. how do we get people healthier and a healthier lifestyle sn? when i was your governor i went to washington and said let me take care of people a lil bit better than your doing. the chips program is for people that are working but are poor. if you're coming from a family that doesn't have insurance you're not getting routine maintenance or preventative care. you're basically using it when you have to and the skid basically taken to the hospital and sure the, the chips will pay for it had they're really sick. so i says, let me use that same amount of money you give my state and let me use it for k 25 and 8. let me start way kid coming to kind are gart ten, do the bmi, follow them through and keep them from getting sick. we were doing things like that. i said let me work with my welfare were people on medicaid. i said a healthy person or medicaid does not need the sam

i would step back and say let's don't talk about aca or no aca, what should we be doing. one of the big problems in health care, and elephant in the realm familiar to this audience is the bias towards third-party pay and the diminution of incentives for cost containment. andin the tax code that could either mean reform that makes some of those upper income subsidies less generous or it could mean dragging the tax code all the way through to neutralize it, but not tackling it strikes me as a mistake. likewise i think there's an opportunity to block granting the medicaid program to deal more flexibly and faithfully with the needs of low income americans than creating an entire new subsidy schemes to do that. the bills that are being discussed are largely age-related credits. my worry with those is they are set sufficiently generous,, they will buy out the base ended the run up the deficit or unravel the system. i would prefer to see more incremental reform tackled with the medicaid block grant and things like that. i agree that the republican leaders are in a bit of a box.

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the big difference is, the aca are incomedits that adjusted.o the lower your incncome, the more generous the tax credit. as you go up the income ladder, it scales out. at four times the popular levev, you get no more support from those tax credits. republblicans are saying, let's just create a flat t tax credit. it varies only by y your age. whether you're in your 20's, in which you get a $2000 at it, after your 60's, where you would get a $4000 credit. in all of those cases, the support you would get would be signifificantly less than what u wod obtainn under the aca income tax credits for the people who need it the most, which is the people with less incomeme. the new tax credits are a little bit like giving a six-foot ladder for someone to get out of a 20 foot hole. most of the people who are getting coverage rigight now through thee aca will nonobe abe to afford to buy coverage with the rerepublican invasasion tax credits -- envisioned tax credits that no longer take account of your income, only your age. to ask about another section of the

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options i never had before the aca passage help. replaced.hree joints life-changing surgeries that restored my active lifestyle and removed chronic pain from my life. these were possible because i was able to access health asurance as an end vigil at reasonable cost. the republican plan for increasing costs for older americans friends people just like elizabeth. these stories matter. these lives matter. we must keep them in mind as we look to change the affordable care act. i yield back. >> chair recognizes the gentleman from california for five minutes. >> thank you mr. speaker. all of myay to urge colleagues, democrats and republicans, to oppose this bill that repeals the affordable care act and here's why. i stand here not as a member of congress but as a doctor. when we took the oath to enter medicine, like thousands of other doctors, there are really three basic ethics. to do good. mr. speaker, this bill does not do anything good. it makes it harder for people to get health care. the second ethic is no malfeasance. to do no har